Comparision of the Functional Outcome of Elderly Patients with Displaced Intracapsular Fracture Neck of Femur Managed With Cemented Hemiarthroplasty and Cemented Total Hip Replacement.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
This study was performed to compare functional outcome of Bipolar Hemiarthroplasty (BA) and Total Hip Arthroplasty (THR) used in treatment of displaced intracaspular neck of femur fracture in elderly patients. Method and Material This prospective study included 30 patients above 60 years of age and having displaced neck of femur fracture, out of which 14 patients were managed by BA and remaining 16 patients were managed by THR, between May 2016 to 2017. These patients were regularly followed at 2 weeks, 1 month , 3 months and 6 months interval for functional analysis using HARRIS HIP SCORE . Results The Harris Hip Score was significant in THR group as compared to BA group at 2 weeks, 1, 3 and 6 months post operatively. Barthel index of activities of daily living, walking unaided (weeks) was higher in THR as compared to HA group. Pain was almost similar in both groups at the all follow up periods. Conclusion This study shows that functional results following THR are better as compared to BA. Also despite the fact that operative time and peri operative blood loss was higher in THR, there was no significant morbidity associated with the procedure when compared with HA.
Authors and Affiliations
Dr Preetam Singh Dagar
Keywords
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